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Home My WebLink About2004 - Roof TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2004-0638 Date: 07-Oct-04 Map/Lot: 108/112-000 Owner ID: 140000 Project Location: 14 BEACH LANE Unit: Job Description: Strip & Re-roof Owner Name: Brian H and Anne M Laing Tenant Name: N/A Careof: 14 Beach Lane Oakdale CT 06370- Telephone: Contractor Name: Property Owner Telephone: (860)859-1407 DBA: Lic/Reg Type: Lic/Reg No: 0 Exp Date: Construction Value Permit Fees. Construction Information Building Value: $6,300.00 Building Fee: $56.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code w/2004 Amendment Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $6,300.00 Penalty Fee: $0.00 Permit Code: R4 C of O Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $1.01 Total Fee: $57.01 It shall be the owners reosonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. ❑ Footing - Prior to pouring concrete ❑ R Plumbing and leak test ❑ Backfill - Footing drains and waterproofing ❑ R Electrical ❑ Concrete Slab - Prior to pouring concrete ❑ Elec Trench - with conduit installed ❑ Framing ❑ Electrical Service CRS No: 0 ❑ Fireplace Throat - One flue above throat ❑ R HVAC ❑ Chimney - One flue above thimble ❑ Gas Piping and leak test ❑ Firestop Draftstopping W Final Inspection ❑ Insulation ❑ Certificate of Occupancy Building Official's Approval: Town of Montville - , Building Department 310 Norwich-New London Tpke. Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit # ❑ New Construction ❑ Addition X-Afteration ❑ Accessory Structure Oingfie,Famify ❑ Two-Famif ❑ Townhouse Job Address L /1-- 04 er) (Street) _ (Unit) _ f' Job Description ` , R t> Owner- e, l fix' Mailing Address 7 3~ 2 x City State 7- Zip O63 ,~'O Tel Contractor S;g 11' Mailing Address City State Zip Tel Contractor's License/Registration Type & Number Exp. Date I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and, further attest that the proposed work is authorized by the owner in fee amd-tha am au otL rize7d-to tma e a plea i~fmapermiiLfor such work as described above. Separate applications are re uir trical, plumbing, me ,ghanical, etc. Owner /Agent Signa Date` Construction Value Fee i Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Certificate of Occupancy $ Plan Review Fee $ State Education Total $ $ (See 1f verse side for additional requirements) &VUedSeptem6er9, 2004 I "Iontville Buifd'ing"Departm-nt Receipt Town of " t Date No. 3 F a~ From: Job Address: i Cash, Check Check - Amount C vcleone) Permit .t Received by 27 Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Address: Pools & Spas Above Ground Round EA $ 3,200.00 $ - Above Ground Oval EA $ 6,000.00 $ - In-Ground EA $ 20,700.00 $ Heater EA $ 3,465.00 $ Hot Tub EA $ 5,250.00 $ - Roofing Strip & Reroof 21 SQ $ 300.00 $ 6,300.00 Overlay SQ $ 185.00 $ - Plywood SQ $ 105.00 $ - Plumbing Full Bath EA $ 4,230.00 $ - Half Bath EA $ 2,690.00 $ - Garages Attached, 1 car EA $ 8,885.00 $ - Attached, 2 car EA $ 15,114.00 $ - Attached, 3 car EA $ 20,914.00 $ - Detached, 1 car EA $ 11,657.00 $ - Detached, 2 car EA $ 17,456.00 $ - Detached, 3 car EA $ 23,256.00 $ - Sheds SF $ 26.25 $ - Sheds with Electrical SF $ 26.25 $ - Electrical Service 100 Amp EA $ 825.00 $ - 200 Amp EA $ 1,500.00 $ - Siding Windows & Doors 3 - Decks/Porch es/Su n rooms Open SF $ 22.31 $ Covered SF $ 62.69 $ - Enclosed SF $ 123.90 $ TOTAL BUILDING CONSTRUCTION COST _ 6,300.00 PERMIT FEE CALCULATIONS Fee Building $ 6,300 $ 56.00 Plumbing $ - $ - Mechanical $ - $ - Electrical $ - $ n Work Commenced before permit issuance $ - CO Fee $ Plan Review $ State Ed Fee $ 6,300 1.01 Total Fees $ 57.01 Based on 2003 RS Means Residential Cost Data 10/5/04 i ~ ' STATE OF'CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at: In the town of ! ~ ( , Name of building permit applicant: Please check one: 1. t/ I am the owner of the above property. 2. I am the sole proprietor of a business. 2A. Name of business: 2B. Federal Employer Identification Number (FEIN) Pursuant to § 31-286b, "a property owner or sole proprietor [who] intends to act as a general contractor or principal employer" may provide either a certificate of workers' compensation insurance or a "sworn affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. 9/ I do not intend to act as a general contractor or principal employer. S' 'gnature of applicant 2. I intend to act as a general contractor or principal employer. Applicant must either provide a certificate of workers' compensation insurance or sign the affidavit below. Affidavit I hereby swear anst that I will require proof of workers' compensation insurance for every contractor, subcontractor, or other wor efore he/she engages in work on the above property in accordance with the Workers' Compensation Act (Chapte 8 . I understand that pursuant to § 31-275 C.G.S., offic f a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the a riate District Office; and that a sole proprietor of a business is not required to have coverage unless he files his in to accept coverage. Signature of applicant Subscribed and sworn to before me this day of 200_. (Notary Public/Commissioner of the Superior Co ) y' Towri of Montville ' Building Department 848-3030, Ext 382 CONSTRUCTION PERMIT PROVAL Property Address A Job Description ' The applicant is responsible for obtaining a 1 of e required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Department Permit Issuance Approval Approval y L, ® Tax Collector o H- Igllatlarei date ❑ WPCA Si-nature dat=e ❑ Planning & Zoning y, Sigti w.r€::/ date. ❑ Health Department Signature/ date ❑ Department of Public Works Signat:ure;i date ❑ State Dept. of Transportation ❑ Fire Marshal Signature/ date Comments/Conditions: AvisedSeptem6er9, 2004